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Sedgwick · 1 day ago

Workers Compensation Claims Examiner | Dedicated Account | Long Beach, CA (3 Days Remote)

United States

Full-time

Remote

Mid, Senior Level

$80K/yr - $98K/yr

5+ years exp

Sedgwick is a global industry leader known for its excellence and customer service, seeking to hire a Workers Compensation Claims Examiner. The role involves analyzing and processing workers' compensation claims to determine benefits due while ensuring adherence to service expectations and industry best practices.

BankingInsuranceRisk Management

Responsibilities

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim

Negotiating settlement of claims within designated authority

Communicating claim activity and processing with the claimant and the client

Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner

Qualification

Claims management experienceCalifornia workers' compensationProfessional certificationCommunication skillsNegotiation skills

Required

5 years of claims management experience or equivalent combination of education and experience

High School Diploma or GED

California workers' compensation claims handling experience

Preferred

Bachelor's degree from an accredited college or university

Professional certification as applicable to line of business

SIP

Benefits

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.